KIM K POLK (Credential# 683379) is licensed (Dental Hygienist) with Connecticut Department of Consumer Protection. The license effective date is November 26, 2002. The license expiration date date is October 31, 2003. The license status is INACTIVE.
KIM K POLK is licensed with the Department of Consumer Protection of Connecticut. The credential number is #13.002814. The credential type is dental hygienist. The effective date is November 26, 2002. The expiration date is October 31, 2003. The business address is 1120 Gateford Rdg Ct, Ballwin, MO 63021. The current status is inactive.
| Licensee Name | KIM K POLK |
| Credential ID | 683379 |
| Credential Number | 13.002814 |
| Credential Type | Dental Hygienist |
| Business Address |
1120 Gateford Rdg Ct Ballwin MO 63021 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 1976-07-08 |
| Effective Date | 2002-11-26 |
| Expiration Date | 2003-10-31 |
| Refresh Date | 2009-07-08 |
| Street Address | 1120 GATEFORD RDG CT |
| City | BALLWIN |
| State | MO |
| Zip Code | 63021 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Mary Louise Herhold | 205 Vistaoak Court, Ballwin, MO 63021 | Registered Nurse | 2020-04-01 ~ 2021-03-31 |
| Jane Mayer | 675 Cedar Run Dr, Ballwin, MO 63021 | Registered Nurse | 2020-01-22 ~ 2021-01-31 |
| Robert L Queathem | 2700 Barrett Springs Court, Manchester, MO 63021 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Glenn A Smith | 750 Spring Hill Farm Dr, Ballwin, MO 63021 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Andalee Brook Arndt | 1021 Shadowoak Drive, Ballwin, MO 63021 | Registered Nurse | 2018-09-04 ~ 2019-09-30 |
| Charles P Guariglia | 13537 Barrett Pkwy Dr, Manchester, MO 63021 | Architect | ~ |
| Kathleen G Le Brun | 530 Huntley Hgts Dr, Manchester, MO 63021 | Registered Nurse | 2016-08-01 ~ 2017-07-31 |
| Lamia Adelby | 550 Brook Meadow Drive, Ballwin, MO 63021 | Registered Nurse | 2015-09-01 ~ 2016-09-30 |
| Sanjeev Bagga | 1671 Weatherwood Drive, Ballwin, MO 63021 | Physician/surgeon | 2014-11-01 ~ 2015-10-31 |
| Norbert J Wasileski · Sverdrup & Parcel & Assoc | 827 Dinard Dr, Manchester, MO 63021 | Professional Engineer | 1989-05-10 ~ 1990-01-31 |
| Find all Licenses in zip 63021 | |||
| City | BALLWIN |
| Zip Code | 63021 |
| License Type | Dental Hygienist |
| License Type + County | Dental Hygienist + BALLWIN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Polk Elementary School Pto | 435 Buckingham St, Oakville, CT 06779-1131 | Bingo Pta/pto | 2011-10-11 ~ 2011-12-31 |
| Polk Property Management and Construction LLC | 137 Tudor St Fl 1, Waterbury, CT 06704-2623 | Home Improvement Contractor | 2016-04-01 ~ 2016-11-30 |
| Marie C Edouard | CT | Dental Hygienist | ~ |
| Jennifer L Souza | CT | Dental Hygienist | ~ |
| Kim M Napolitano · Roy | P O Box 416, Raymond, ME 04071 | Dental Hygienist | 1995-11-27 ~ 1996-08-31 |
| Hui Ran | 41 Sumerset Dr, Mechanicville, NY 12118 | Dental Hygienist | 2019-09-01 ~ 2020-08-31 |
| Amy Parente | 56 S End Ave, Durham, CT 06422-2902 | Dental Hygienist | 2019-09-01 ~ 2020-08-31 |
| Shu H Lin | 4 Spencer Dr, Westerly, RI 02891-1284 | Dental Hygienist | 2017-02-23 ~ 2017-10-31 |
| Julie A Rodrigues | 20 Chestnut St Apt 1, Rye, NY 10580-2885 | Dental Hygienist | ~ |
| Eva Johnson | Box 452, Johnsonburg, NJ 07846 | Dental Hygienist | 2008-08-18 ~ 2009-08-31 |
Please comment or provide details below to improve the information on KIM K POLK.
| Data Provider | Connecticut Department of Consumer Protection |
| Jurisdiction | Connecticut |
| Related Datasets | Connecticut Business Registrations, Connecticut Child Care Facilities |
This dataset includes 1.41 million licenses issued wtih Connecticut Department of Consumer Protection (TDLR).